Fabio D'Ajello

TL;DR: A systematic review to evaluate the role of Ultrasonic dissector (UAS) versus conventional clamp and tie in thyroidectomy shown a relevant advantage only in terms of cost-effectiveness in patients treated with UAS; it is subsequent to statistically significant reduction of operation duration, intraoperative blood loss and of overall drainage volume during the first 24 hours.

TL;DR: It is shown that prophylactic antibiotic treatment is not beneficial in patients younger than eighty years old, with no concomitant metabolic, infective and hematologic disease, withNo cardiac valvulopathies, not under steroidal or immunosuppressive treatment, and not severely obese.

TL;DR: The role of surgery in this disease should be limited to get a definitive diagnosis while for the staging and the treatment CT scan and chemio/radioterapy are repectively mandatory.

TL;DR: Ultrasound scissor significantly reduces the blood loss and duration of drainage as compared to electrocautery, and axillary dissection using harmonic scalpel is feasible and the learning curve is short.

TL;DR: The analysis showed that the patients who were treated with ultrasonic dissection don't present more favourable results in incidence of post-operative transient complication; the usage of Ultrasonic dissector can only help surgical action but can't repair the experience of the operator.